Table 2 Exploring the challenges in the financial transaction between CNCSCs and their clients
Main Category | Subcategory | Initial Code |
|---|---|---|
A:Theflaunted atmosphere due to direct financial transaction | A1. Direct unfavorable monetary exchanges | The financial pressure on clients caused by their direct payment of the costs incurred by services |
Problems in the reimbursement of the costs due to the lack of public insurance coverage | ||
The reluctance and inability to direct out of pocket payment for health-related expenses | ||
A2. The complex interaction with private insurance companies | The low acceptance of CNCSCs and the independent rule-setting by some private insurance companies | |
The complex documentation needed for the reimbursement of costs by complementary insurance | ||
The incomplete reimbursement of costs by private insurance companies | ||
B:Instability in determining tariffs for nursing services | B1.Inadequate attention to CNCSC services | The ambiguity and undefined roles of CNCSCs in price-setting |
Delay in updating Irrational and outdated prices | ||
B2.The need to bargain with the CNCSCs and clients to fix a price | Bilateral (CNCSC-client) efforts for financial profiting | |
Clients being uncertain about the price of nursing services offered at CNCSCs | ||
B3. A defective environment of competence | Independent nursing home care by nurses and clinics | |
Easier access to inexpensive, although unprofessional and low-quality, home care services | ||
The client’s preference for receiving services from hospitals and governmental health care centers given their comparatively lower prices | ||
C: The use of benefit strategies for cost-effective services and client satisfaction | C1. Regulating financial transactions with the families | Financial transactions limited to only one of the family members |
Avoiding a direct financial transaction between the CNCSCs staffs and the family members | ||
C2. Expediency trying to expand organizational relationships | A cautious work relationship with some semi-private organizations | |
Trying to expand professional relationships with rich and financially-independent organizations | ||
Trying to expand the delivery of services to clients with complementary insurance coverage | ||
C3.Trying to rationalize the costs of service for the clients | Informing the clients about the sensitivity and benefit of community-based nursing services | |
Assisting the clients in preparing adequate documentation for the reimbursement of costs by complementary insurance |